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Background: Implant–prosthetic rehabilitation has the ability to improve the quality of life of patients, because, in addition to the role of restoring masticatory function, they also have many other benefits, such as restoring aesthetics or improving speech. This study aimed to analyze whether patients' quality of life was improved by implanto-prosthetic rehabilitation and which were the most important aspects. Materials and Methods: In this before–after study, we applied the Oral Health Impact Profile (OHIP-14) questionnaire to analyze the degree to which complex implanto-prosthetic rehabilitation led or not to an increase in patients' quality of life. The present study was carried out at the level of a private medical center in a city in the central region of Romania and included patients who visited this medical center between January and June 2022 and who benefited from a complex implanto-prosthetic rehabilitation, with the total number of patients eligible for inclusion in the study being 116. Results: Overall, an improvement in quality of life after implant-prosthetic rehabilitation was found. Patients' gender, age, or educational level did not significantly influence their responses. The network analysis offered an overview (intuitive visual representation) of the similarities but also the differences in the OHIP-14 item relationships in both situations: before and after oral rehabilitation. Conclusions: A better understanding of how patients perceive implanto-prosthetic rehabilitation and the aspects that influence this perception can lead to an improvement in their quality of life, increasing the addressability of this type of medical procedure. [ABSTRACT FROM AUTHOR]

Purpose: To assess the quality of the nursing process in Romania by evaluating nursing documentations with the quality of diagnoses, interventions and outcomes (Q‐DIO) measurement instrument. Methods: A quantitative cross‐sectional research design was employed using probabilistic sampling to select nursing documentations from a Romanian university hospital. The data were analyzed using the Q‐DIO measurement instrument. Findings: Low quality levels of nursing process documentation were found. The Q‐DIO subscale "Nursing diagnoses as process" (assessment) revealed a mean = 1.36 (SD 0.52) of maximum 2. Nurses collected lots of data but did not use these to state nursing diagnoses. "Nursing diagnoses as product" showed inaccurate diagnoses; mean = 1.24 (SD 0.48) of maximum 4. Nursing interventions were planned and documented, but their impact on the etiology of nursing diagnoses was low; mean = 0.76 (SD 0.18). The quality of nursing outcomes mean was 0.57 (SD 0.29). Nurses failed making connections between nursing assessment, diagnoses, interventions, and outcomes, and standardized nursing languages (SNLs) were not used. Statistically significant differences were found among all Q‐DIO sub‐concepts except for "Nursing diagnoses as process." Conclusions: The documentation was structured but did not support the nursing process and its documentation, and SNLs were not implemented. There was an underutilization of data to state nursing diagnoses, and nursing interventions were mostly ineffective, leading to low nursing outcomes. Implications for nursing practice: This study provides new insights on the nursing process and its documentation in Romania and a baseline for future research. Policymakers, administrators, and educators should consider educating nurses to use standardized nursing languages and apply the Advanced Nursing Process. [ABSTRACT FROM AUTHOR]

The escalation of global obesity is driving research to understand environmental influences on this process, particularly during vulnerable developmental stages such as childhood and adolescence. Efforts include the development of various structured data collection tools. We aimed to adapt a series of previously validated questionnaires from the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE), the Child Feeding Questionnaire, and elements from the World Health Organization Childhood Obesity Surveillance Initiative (COSI) in order to assess local lifestyle patterns among Romanian high school students and their families that may predispose them to obesity. To this goal, an expert committee was formed as part of a research partnership to oversee the questionnaire's translation and adaptation. It consisted of education and school management specialists, clinical research professionals, language experts, and public health experts. The adapted questionnaires were then applied to 114 students enrolled in the 9th and 10th grades attending a high school situated in Sibiu, and their parents. The variables measured were investigated for correlations with overweight and obesity and, as a secondary objective, academic performance. The study revealed several critical findings, including suboptimal sleep durations and physical activity levels among students, a significant amount of screen time, and correlations between weight status and physical activity, sedentary time, and maternal weight status and education levels. The adapted questionnaires proved to be effective tools in capturing the multifaceted factors implicated in adolescent obesity, providing a foundation for targeted interventions and broader public health strategies to address this issue. [ABSTRACT FROM AUTHOR]

Measuring satisfaction can help us understand patients' expectations and adopt individualized treatment according to their expectations. In the current study, we applied the DPQ (Dental Practice Questionnaire) to analyze the degree of patient satisfaction regarding medical services in the public and private sector in a Romanian city from the central region. A group of 200 patients, 100 patients from the public sector and 100 patients from the private sector, participated in the survey. The results showed significant differences in response when patients were stratified by age, gender, visit frequency and length of time attending the same practice. Significant differences between public and private practices were encountered. Moreover, the degree of patient satisfaction was found to be related to appointment promptness/length of time and the confidentiality/ability to listen/knowledge/respect shown by the dentist, while patients' recommendations to others were influenced by dentists' explanations and warmth, followed by the appointment system and confidentiality. Patient satisfaction with oral rehabilitation dental services plays an essential role in maintaining patients' addressability, but there is a multitude of factors that can influence patients' opinions. Further analysis of the evolution of the influencing factors (causing satisfaction or dissatisfaction), in time, could provide deeper insights into the links between patient satisfaction and these factors. [ABSTRACT FROM AUTHOR]

Births are important occasions that many people consider sacred, because it ensures the survival and evolution of the human species. The purpose of this study is to analyse the evolution of births at the County Clinical Hospital in Sibiu during 2017-2022. Regarding the realization of this study, we analysed the data provided by the County Clinical Hospital in Sibiu during the period 2017- 2022 regarding the age, environment, hospitalization, main diagnosis, secondary diagnosis, condition at discharge and procedure. In the top of the diagnosis, at admission, in 2017-2021 there was the supervision of a high-risk, non-specific risk. In the top of the main diagnoses is the unique birth by caesarean section, followed by the supervision of an increased, non-specific risk. In the top of the secondary diagnoses in the period 2017-2021 there was the unique spontaneous birth followed by anaemia that complicates the pregnancy, birth and the confinement. [ABSTRACT FROM AUTHOR]

This study uses the questionnaire of the “Agency for healthcare research and quality” and aims to analyse the key elements of the organizational culture regarding patient safety in a hospital unit. The aim is to identify both the main strengths as defined by the AHRQ questionnaire and the points which need improvement, more importantly, the aspects which lead to the improvement of organizational culture and implicitly, of patient safety in the hospital setting. Data analysis is done both globally and on distribution characteristics in order to be able to detail a future plan of measures, which will be addressed punctually on the identified axes. [ABSTRACT FROM AUTHOR]

This article partially presents the study to investigate the effectiveness of the implementation of nursing care plans in a surgical department of a hospital unit. The part of the analysis carried out for the nursing diagnosis regarding the risk of falling (this being one of the biggest risks for patients in the surgery department) was highlighted. The data were collected from the care plans accomplished from January to March 2022. We defined a grid of analysis criteria, criteria defined on the basis of the care plan, which was made based on the standards and legal provisions in the field. The criteria defined for measurement are: assessment of fall risk on admission (CC1), possibility of alerting the medical staff by the patient (CC2), assessment of the risk of fall after surgery (CC3) and training of the patient on the use of support devices (CC4). The result of the study generally shows that the implementation of nursing care plans in the surgery department has an overall effectiveness of 99%. However, we identified deviations from the standard at the CC3 indicator, which has the highest degree of non-compliance: 3.4%. We identified causes and suggested improvement measures and actions. The results of the analysis carried out in this work are an effective means of obtaining the necessary data to improve the way nurses work in accordance with the standards and legislation in force to increase patient safety. [ABSTRACT FROM AUTHOR]

Globally, infertility affects millions of people. According to the World Health Organization, more than 50 million couples are affected and there are 187 million people facing infertility globally. Unfortunately, in Romania, there is no information on infertility problems and their consequences. Thus, many couples in Romania are not aware that with the postponement of pregnancy at an advanced age they will have negative consequences on future fertility. The aim of this study is to analyse whether age and education influence infertility in women. To conduct this study, we applied an online questionnaire to 162 infertile women from Romania to analyse the influence of age and education on the infertility they face. In our study it has been found that old age not only affects women's fertility, but also men's fertility. Regarding to education, it should not be seen as an impediment to the birth of children. [ABSTRACT FROM AUTHOR]

The aim of this study is to highlight agents for therapy and prophylactic measures for dental caries in temporary dentition. Objectives of the study include identifying the needs of oral rehabilitation of children and the lack of information among parents and educators about oral hygiene and improving the oral health of preschool children through intervention studies that include brushing methods and skills. Materials and methods contain relevant articles of three databases: Academic Search Complete (via EBSCOhost), MedLine (via PubMed), E-nformation published prior to 12 June 2018. Results and discussions show that the total number of screened studies was 1946 and the number of eligible articles was 78. 33.3% of the studies investigated parents’ and educators’ knowledge about children’s oral health. Qualitative questionnaires were applied to parents and educators of children in public and private preschool educational systems. Interventional studies were found in the reviewed literature in 32% of cases. Conclusions: today’s literature contains a relevant number of studies regarding the oral health issues of preschool children. Our research highlights EbscoHost as a great online database with articles that match our theme. [ABSTRACT FROM AUTHOR]

The last years have brought profound insights into molecular mechanisms and application of epigenetics to medicine. Alteration of epigenetic profile is considered to be influential in both the normal and disease state of an organism. Various diseases, such as cancers, neuropsychiatric disease and other non-neoplastic disease are often associated with epigenetic alteration. In the light of increasing knowledge on the involvement of epigenetic factors in disease, it is now becoming apparent that epigenetic factors could be ideal therapeutic targets. In the context of the new insights of epigenetics, this review summarized the epigenetic mechanism of gene expression and the most important epigenetic pathologies. [ABSTRACT FROM AUTHOR]

Forensic casuistry is an important source of cases that fall into avoidable deaths category; these include: deaths due to road accidents, sudden cardiac deaths, deaths due to hepatic cirrhosis, deaths in children under 1 year, maternal deaths etc. In the work carried out as a resident physician in forensics, I found a large, growing number of deaths due to diseases/accidents amenable to health care or primary prevention. The aim of this study was to identify the avoidable deaths from the forensic cases of Sibiu County and the clinical, epidemiological and mesological features thereof, with a thorough analysis of those caused by cardiovascular diseases. Specifically, it is a descriptive, analytical observational ambispective study conducted over a period of 10 years from 2006 to 2015. In the forensic casuistry of Sibiu, we identified 1178 avoidable deaths within 10 years, representing 40% of all forensic autopsies. In dynamics, their share of all forensic deaths increased up to 6% (in 2006, 37% of forensic deaths fell into the category of avoidable deaths, and in 2015, the share was of 43%). We found a much higher frequency of avoidable deaths in men and in people from urban areas, as well as the increase of the average age of victims of avoidable deaths by about five years in the ten years studied. Cardiovascular diseases caused around half of all avoidable deaths with forensic consequences (about 49%), and another 40% of them were due to traffic accidents, the forensic prerogative. The study found that most of the victims of avoidable deaths due to cardiovascular diseases with forensic consequences had the following characteristics: Romanian nationality, Orthodox religion, married or divorced, graduates of vocational schools, no occupation. On the one hand, this study provides an accurate assessment of the need for guidelines and protocols for primary, secondary and tertiary prevention, representing a foundation for the effective identification and monitoring of risk groups with different allocation of resources to priority areas of intervention. On the other hand, the study allows predictions on the dynamics of these types of deaths and therefore, on the dynamics of human resources in Romania. [ABSTRACT FROM AUTHOR]

The concept of quality is increasingly aimed at in every field of people's lives. We all wish to buy and benefit from quality products and services. It is a desideratum and an obligation of all parties in a society. In the field of health, quality of healthcare services means improving health of patients and responding to the general expectations of the population regarding health. This papers presents different approaches to healthcare services quality based on old and new models of quality, as well as the nursing process and its important part played in healthcare quality and patients' safety. [ABSTRACT FROM AUTHOR]

The cranio-maxillofacial region encompasses the soft and hard tissues that form the face from the upper neurocranial bones to the inferior mandible. The face, being the most exposed part of the human body, is frequently subjected to cranio-maxillofacial trauma. Cranio-maxillofacial trauma may cause lesions of soft tissues, bone substrate and dental arches. Cranio-maxillofacial trauma registers an increase, both in terms of their number and complexity, possibly due to the fact that the number of motor vehicles is rising year after year, to the modest infrastructure existing in our country, to the increase of interpersonal violence and the increase of socio-economic activities of the population. [ABSTRACT FROM AUTHOR]

The research focusing on the extent of the phenomenon of avoidable deaths in Romania has identified a percentage of 15% avoidable deaths of all deaths in Romania, regarding the period 2006- 2013. Among the most common causes of avoidable deaths in Romania we find: ischemic heart disease, hypertension and cerebrovascular diseases, cirrhosis, cancer of the trachea, bronchus and lung, infant mortality etc. The present study aims at assessing the dimensions and clinical and epidemiological characteristics of avoidable deaths in territory in respect to 8 regions of Romania and at the main causes that lead to such deaths. We conducted a retrospective observational study over a period of 5 years (2009-2013) of all statistical data regarding the deaths recorded in Romania during the studied period. Given that until today, there is no epidemiological study of avoidable deaths at regional level, highlighting their extent, we consider it appropriate to tackle this issue. The results would optimize primary and secondary prevention locally, through the implementation and promotion by local institutions, of the prophylactic means and of promoting health, adapted to the needs existing in the community. Thus, this study would be an indisputable scientific support for inter - and multi-sectoral regional prevention strategies. [ABSTRACT FROM AUTHOR]

Population's health status assessment is quite difficult, especially due to its multi-determinism. One of the indicators of health status assessment is avoidable death caused by diseases that are “preventable” (primary prevention) and “treatable” (secondary prevention) as specific indicators of the efficiency/inefficiency of health systems. European studies on avoidable mortality show that Romania ranks first in the European Union, regarding both genders. In order to highlight the dynamics of avoidable deaths in Romania, we analysed in this study all deaths which fall within this concept, recorded during 2006-2013. To establish the criteria for inclusion in the study, the list of Leveque et al. was used. Both categories of avoidable deaths, amenable to health care, respectively to health policies have recorded a downward trend, but with a greater reduction in percentage for those determined by conditions responding to healthcare. The study of the dynamics of avoidable deaths allows making comparisons nationally and internationally with a view to identify areas with a high incidence of this phenomenon, as well as the disparities between those areas, the ultimate goal being to identify root causes and to remove/mitigate them. Optimizing the health system in Romania would positively contribute to improve these figures and to a better ranking among EU countries. [ABSTRACT FROM AUTHOR]

A retrospective study was made on 195 institutionalized elderly people and was carried out between 2002-2006 in three social care centers from Galati county: "Sf. Spiridon" retirement home (A), "Stefan cel Mare" social care center (B) and Medicalsocial center (C). The aim of this study is to find out the real social life conditions of institutionalized elderly, the shortcomings and positive aspects of their existence, in order to design future measures to improve quality of elderly life in all aspects. Actual quality of life was assessed by, taking into account physical and psychosocial environment, quality of elderly social care, satisfaction degree of assisted persons in relation to living conditions and existing relationships, their health state, as well as to identify the causes that led institutionalization of such persons As working tools were used: individual questionnaire, training manual, sampling lists, summary tables. The study undertaken in Romania confirmed that elderly coming from "Sf. Spiridon "retirement home have the highest average age (up to 75 years old). Loneliness was the main reason which caused elderly admission for institutionalization in three nursing homes (49.6% among the elderly in the Sf. Spiridon retirement home (A), 43.2% for those from "Stefan cel Mare" social care center (B) and 38.1% of the elderly from Medical-social center (C). Other important reasons were represented by lack of housing and insufficient storage house space. The highest elderly percentage who came into social care centers A, B, C on their self will is 85.3%, 64.9% and 45.2%, respectively. [ABSTRACT FROM AUTHOR]

During the past decade there is an alarming increase in prevalence of dental caries globally. Dental caries can affect the quality of life thru a variety of problems, such as dental and oral pain, school absenteeism, lack of attention, and poor oral health as an adult. The purpose of this study is to evaluate parental knowledge and attitudes about oral health of their preschool children in Sibiu. A descriptive design was used with a convenience sample of 75 parents of children who attended five local preschools from Sibiu. Results showed that parents lacked knowledge in some aspects of oral health care, such as breast feeding, brushing and flossing baby teeth, the importance of fluorides and the necessity of early dental check-ups of the child. Parents should be able to supervise and teach children different attitudes related to oral health care and to collaborate with medical doctors and nurses for guidance and education. [ABSTRACT FROM AUTHOR]

Prevention is the most effective and low cost measure to promote oral health. The use of cariostatic action of fluoride varnishes is one of the main directions of preventing tooth decay. Prophylactic services provided to preschool children can be difficult to manage due to their young age and psychological characteristics. The aim of this paper is to describe how flour defender application can be managed in dental caries prevention to a preschool 3 years old boy. During his first visit to our dental office, we were able to cooperate with him and to provide a non invasive treatment to all deciduous teeth, except upper central incisors that were affected by incipient caries. We used a protective enamel with fluoride for children containing 0,1% fluorosilane. [ABSTRACT FROM AUTHOR]

Communication is an integral part of the dynamism of social processes as well as their explanatory tool. Its main features are understanding, knowledge, socialization, influence and persuasion. Communication in nursing is different because of the context, involved behavioural typologies and the characteristics of the care process. It is carried out according to the general principles of communication adjusted to the specific of care activity. Effective communication leads to increased compliance of the patient to treatment, improved dependence and improved satisfaction from the patient. Benefits are for nurses, too, namely strengthening the image of professional nursing, permanent and progressive development of communicative competence. [ABSTRACT FROM AUTHOR]

Our study is a retrospective one and it is related to the analysis of registration data of patients who addressed the dental emergency office of Sibiu County during 2011-2015. We aimed at identifying the number of patients coming to the emergency dental office, its trend for the period under study and at analysing the activity of this office in relation to other similar centers. After analysing the data, it was found a total number of 32 165 patients, the number of males being of 13.4%, more than females and from the urban areas, there were 36.2% patients, more than those from rural areas. The average number of patients per dental office was 536 (SD = 62.55) patients /month with an average number per day of about 18 patients while the average age of patients was approximately 38 years (SD = 19.02). The study concluded that the age of addressability to Sibiu dental emergency service drops significantly throughout the 5 years of study, and the months with high activity under study were December, January and August. The results were compared with data found in the literature about similar dental centres in Romania, namely Bihor and Mureş counties' centres. It was found that the average number of patients per month in Sibiu was similar to that of Mureş and twice higher than in Bihor. [ABSTRACT FROM AUTHOR]

Our study is based on an opinion survey applied in the emergency dental office from Sibiu County. An important factor taken into account when we plan to streamline the medical service is the level of satisfaction patients have towards the service provider. The questionnaire which we applied is an adapted version of a validated form used in 2006 by the National Health Insurance Service in Englant (NHS) for the implementation of measures to streamline the emergency dental system. The group of patients to whom we applied the questionnaire consists of 60 patients. The questionnaire contains questions about the level of satisfaction of patients, addressability aiming to identify the reasons for which patients resort to such services in Romania. According to the results, 65% of patients were very satisfied with the treatment offered, 96% were satisfied with the attitude of the staff towards them and 91% said they trust the medical staff. A large percentage (40%) said that the equipment in the dental office can be improved. The conclusion of this study is that the emergency dental office is highly appreciated by patients and despite the poor equipment, doctors are trying to cope with increased addressability of the dental office. [ABSTRACT FROM AUTHOR]

Objectives: This study aims at assessing the importance and usefulness of routinely performing night cardiorespiratory polygraphy as a method of screening for sleep apnea in patients with moderate and severe COPD, as well as the correlation with Systematic Coronary Risk Evaluation (SCORE) cardiovascular risk. Materials and methods: The study was conducted on a sample of 61 patients with COPD, classified according to the degree of respiratory function impairment as moderate ans severe COPD, studying the presence of respiratory disorders during sleep through nocturnal cardiorespiratory poligraphy. SCORE cardiovascular risk was also calculated, assessing the correlations between this one and the presence of sleep apnea in patients with moderate and severe COPD. Results: Sleep apnea was identified in higher proportion in COPD patients compared to the general population. There has been demonstrates the impact of obstructive sleep apnea in worsening the SCORE risk of developing cardiovascular events after10 years in COPD patients. Conclusions: The use of nocturnal cardiorespiratory polygraphy as a screening method in patients with moderate and severe COPD is justified, often revealing the presence of respiratory disorders during sleep. Also, given the statistical correlations and the seriousness of the SCORE risk, evolution and prognosis of patients associating COPD and sleep apnea may be reduced by the simultaneous treatment of both diseases. [ABSTRACT FROM AUTHOR]

Population health multideterminism (hereditary, individual, environmental, cultural, socioeconomic factors etc.) makes it difficult to quantify it. One of the indicators assessing health is mortality caused by treatable diseases that can be prevented by medical intervention or secondary prevention. We present the case of a nursing mother on day 7, 23 years old, who, after giving birth spontaneously, assisted obstetrically, to a live, eutrophic fetus had a postpartum evolution apparently favourable discharged on request. Subsequently, two days after discharge, she returns to the Emergency Room (ER) with deeply impaired general condition with symptoms of septic shock. The diagnosis of pelvicperitonitis with severe toxic-septic condition was set. Although surgery was on emergency (total hysterectomy with bilateral ovariectomy), the patient died intraoperatively. Forensic autopsy revealed an aspect suggestive of a long evolution of a septic pelvic-peritoneal process with multisystem organ failure (MSOF), confirmed by complementary examinations performed (bacteriological examination and histopathology). Data provided by caregivers revealed the existence of an old chronic suffering, which although diagnosed during hospitalization, was ignored by the patient, who has not observed the medical advice. Through the lack of therapeutic compliance, this case falls into the category of avoidable deaths occurring in younger people, whose forensic autopsy is required. [ABSTRACT FROM AUTHOR]

One of the most important demographic rates is the under five-year-old mortality rate, which correlates very strongly with the socio-economic and cultural status of a country and is among the best predictors of state failure. It is, therefore, a useful indicator of a country's level of health or development, and is a component of the physical quality of life index. The present paper illustrates the situation of infant mortality rates in the world, emphasizing its decrease in the recent years, especially in the developed countries. This tendency is also felt at the level of the developing countries, yet, there are countries that register high levels. The paper also focuses on the factors leading to the situation of infant mortality rate in Romania, which still remains high. [ABSTRACT FROM AUTHOR]

The need to recognize the role of clinical psychology within the health insurance system, implicitly the reimbursement for specific services has become a reality since 2014. These health care related services are provided by psychologists in the specialities of clinical psychology, psychological counselling, psychotherapy and special education. Psychological counselling and the specific forms of psychotherapy accepted as health care related services can be applied to both children and adults, diagnosed with psycho-behavioural disorders, autism spectrum disorders, terminally ill patients, patients in emergency situations, or for the rehabilitation of the chronically ill etc. This paper aims at analysing the legislative framework in the field, literature reviewing with emphasis on the importance of psychological interventions on patients who require these services for the prevention of mental disorders, as tertiary prevention measure, in order to increase the quality of life of the chronically ill. [ABSTRACT FROM AUTHOR]

This paper analyses the health status of the school-aged children in Sibiu County with the help of the epidemiological triage. The aim of this medical examination is to assess the health status of the children in Sibiu County, to prevent, fight and treat the infectious and contagious diseases identified after each holiday. The study took place between 2011 and 2013 and included a total number of 117 599 children enrolled in pre-university education (kindergartens, elementary schools and high schools) at the level of Sibiu County. Following the epidemiological triage, there were found 6 575 cases of parasitic and infectious diseases, of which most cases were registered in the children belonging to elementary schools, followed by those in kindergartens and high schools. At the level of the children in kindergartens, most cases of infectious diseases were registered in 2013, compared to the elementary schools and high schools, where in 2011, there were found most cases of illness. [ABSTRACT FROM AUTHOR]

Performance management is a fairly new field, but it can be applied in many areas. In the health services system, performance management is present in many countries, with implementation being done through particular models, all centered on the level of patient satisfaction. In Romania, the emphasis is on the financial side, but there is a need for implementation for a patient-based system, patient satisfaction being an important indicator for the assessment o f medical institutions. [ABSTRACT FROM AUTHOR]

Background and aims. The present study was carried out in the Department of Oral and Maxillo-Facial Surgery of the Sibiu County Emergency Clinical Hospital and aimed to evaluate the oral health status of patients who refer to this medical unit, identifying the presence and frequency of dental infections among these patients. The study also aimed to identify and characterize the comorbidities present in patients with these oral conditions. Finally, the study aims to highlight the degree of concern regarding the oral health status of patients and provide relevant information for dental health services and for the development of appropriate prevention and intervention strategies. Methods. The study was conducted retrospectively and descriptively, using the hospital’s electronic medical records. The total sample consisted of 1246 people, the inclusion criteria were: (a) patients admitted to the OMF Surgery Department; (b) outpatients who required hospitalization; (c) patients hospitalized under continuous hospitalization regime; (d) patients over 16 years of age; (e) patients diagnosed with infectious pathologies. After data registration, information on sex, background, distribution of diagnoses, associated pathologies of the patients and the existence of combined pathologies of the patients included in the study were taken into account. The duration of hospitalization of patients, the need and duration of antibiotic therapy, the frequency of use of combinations of antibiotics, and the number of antibiotics used in correlation with the duration of hospitalization were also analyzed. The data are presented as frequency and percentages. The combination of the most frequent associated pathologies was analyzed using an algorithm based on association rules and chord diagram was used for their visual representation. Statistical analyses were performed using IBM SPSS® (Statistical Package for the Social Science) version 20 and R software. Results. The total sample consisted of a total of 1246 people. From the preliminary analysis, the majority of people in the sample, 68.5%, did not suffer from infectious conditions, while 31.5% were affected. Most of the patients came from the urban environment (61.73%) and were male (54.34%). Frequent comorbidities included cardiac pathologies (11.99%) and diabetes (4.08%). These data indicate the poor state of oral health among patients who call on the OMF Surgery services. It is not an isolated case, but it reflects a pattern observed globally. Based on the results of the study, the hypothesis is validated that there is a poor state of oral health among the population, manifested by the increased incidence of dental infections. International studies confirm that dental infections are often complicated by the presence of comorbidities. high prevalence of dental infections. The presence of comorbidities and seasonal factors contribute to the aggravation of these infections. These results emphasize the need for preventive and educational interventions to improve the oral health of the population in this region, as well as the development of personalized treatment strategies. [ABSTRACT FROM AUTHOR]

Background and aims. The introduction of accreditation criteria for hospitals has generated increased interest in applying the nursing process to clinical practice and developing nursing care plans. Nursing diagnosis plays a pivotal role in the formulation of these care plans. The objective of the study is to investigate the correlation between nursing diagnosis education and nurses' intentions, attitudes toward the use of nursing diagnosis and the behavior in using it in practice; to explore the differences between nurses' intentions, attitudes and behavior, considering nurses' socio-demographic and professional data. Methods. A cross-sectional design was used. A web-based survey was applied to gather data. A sample of 664 hospital nurses was recruited from five Romanian hospitals. Results. Education on nursing diagnosis showed significant results in relation to nurses' intentions (F(2,126.35) = 23.99, p < 0.001), attitudes (χ2 (2, N = 664) = 44.62, p < 0.001) and behavior (F(2,167.69) = 29.53, p < 0.001) in using it in clinical practice. Nurses with education highly focused on nursing diagnosis have significantly stronger intention to use it, more positive attitudes and higher behavior in using it in clinical practice compared to nurses whose education simply had included a nursing diagnosis course, or nurses without any education on the topic. Significant differences were identified in intention (t (83.86) = -4.49, p < 0.001) and attitudes (U = 12697.50, z = - 3.99, p < 0.001, r = -0.0006) of management nurses compared to clinical nurses. Conclusion. Nursing education on nursing diagnosis significantly impacts nurses' intentions, attitudes, and behavior in their daily practice. Romanian nurses display slightly positive intention and attitudes toward nursing diagnosis but need more training for effective/practical clinical application. [ABSTRACT FROM AUTHOR]

This article stresses the importance, communication in the field of public health has in protecting human health, in the prevention and control of disease occurrence, quality of life and in promoting health. Healthy People 2010 report defines communication in public health as "the art and technique of informing, influencing and motivating individuals, institutions, the general public on the important issues of public health".(1) An important role in promoting messages aiming at changing the unhealthy behaviours is played by the communication campaigns. The article also highlights the role of public health communication campaigns, an important part in producing behavioural changes. [ABSTRACT FROM AUTHOR]

This article stresses the importance, communication in the field of public health has in protecting human health, the prevention and control of disease occurrence, quality of life and promoting health. Healthy People 20'0 report defines communication in public health as "the art and technique of informing, influencing and motivating individuals, institutions, the general public on the important issues of public health ".(') An important role in promoting messages aiming at changing the unhealthy behaviours is played by the communication campaigns. The article also highlights the role of public health communication campaigns, an important part in producing behavioural changes. [ABSTRACT FROM AUTHOR]

The attention to medical transfusion has been a preoccupation of mankind since ancient times. But the shift from ideology to practice was slow, the beginnings being hampered by a lack of understanding of the way the circulatory system works. With the elucidation of circulatory system functioning mode and also of blood types, blood transfusion has become a reality and even more a necessity in current medical practice. [ABSTRACT FROM AUTHOR]

Our study is based on identifying the level of anxiety as state and trait ofpatients presenting at the Emergency Dental Office from the County Clinical Emergency Hospital of Sibiu. The tool used is the state-trait anxiety inventory (STAI). The results show an increase in the level of state anxiety at the same time with the increase of the education level, while the level of trait anxiety is slightly lower in those with higher education than the rest. In males, the level of state anxiety regarding the dental interventions and the level of trait anxiety was significantly associated with the age of the respondents. State anxiety scores regarding dental interventions have positively associated with anxiety scores as a personal trait. Over 70% of STAI-STAIT and STAI-TRAIT values were above the average and significantly higher than the validated average values for the Romanian population. [ABSTRACT FROM AUTHOR]

In-hospital data on colorectal cancer from Romania demonstrate differences from other European countries, especially in the mean age of patients, discharge rates and length of stay. Our study aimed to investigate possible factors that could predict the health outcomes at the discharge of colorectal cancer patients hospitalized in a Romanian county hospital. We retrospectively analysed 9009 colorectal cancer patients from a Romanian County Hospital. The model of binary logistic regression, a stationary or aggravated discharge disposition was associated with patients with age equal or higher than 60 years (p=0.002), the nonretirement status of patients (p=0.004), discharge from a surgical section (p=0.000), a surgical procedure performed during the hospitalization period (p=0.000) and a hospitalization period shorter than seven days (p=0.000). Potentially actionable demographic and hospital-level characteristics can predict colorectal cancer health outcomes of patients at discharge. Knowledge of this information would allow for several strategies that could improve the discharge planning. [ABSTRACT FROM AUTHOR]

Erectile dysfunction (ED) and the urinary incontinence (UI), are the most important complications after radical prostatectomy (RP), with a strong impact on the quality of life and the satisfaction of the patients. Materials and Methods: The study involved 98 patients with prostate cancer, from Fundeni Clinical Institute selected for retropubic RP. The prospective analytical observational non-randomized study had two steps: 2014-2015 and 2017-2018 at 3 years postoperatively. Results and discussions: On discharge, postoperative UI was present in 83.7% of the patients, up to 1 year in 21.9%, after two years in 13.6% and finally, after more than three years in 9.4%. 81% of the patients with serious postoperative ED were >60 years, the Chi-square testp= 0.075, and 16.7% of the patients declared declare "medium/low erection" at 3 years. There is a probability of >9.23 or (2.62-32.46), p=0.001, of presenting mild ED after surgery if nerve sparing is to be preserved. The aspects of quality of life differ significantly statistically depending on postoperative ED, Lawley-Hotelling test--p=0.0017.Conclusions: RP can negatively affect the quality of life, causing both UI and ED, which is way, enhancing postoperative sexual continence and function, can be done through changes in the lifestyle, physical exercises, and pharmacotherapy. [ABSTRACT FROM AUTHOR]

Regional anesthesia is to block nociceptive transmission in clearly defined territories, using local anesthetic, depending on the specific fibers to be blocked and on the characteristics of the patient. Spinal post-anesthesia headache is a common complication of this procedure being determined by the loss of CSF in the injection site. If it persists, it can become annoying, even debilitating. Patient age and gender influence the prevalence of lumbar postpuncture headache in that it is more common in young than in the elderly and in women than in men. In terms of timing, in most cases, headaches are installed 24 hours postoperatively. The main pharmacological classes used to control spinal post-anesthesia headache are painkillers, anti-inflammatory and corticosteroids. When the headache increases in intensity and duration, and it is refractory to drug therapy, we appeal to the blood patch method. It is usually reduced by the administration of pain relievers, which means it can be treated fairly easily. [ABSTRACT FROM AUTHOR]

At global level, demographic transition has generated morbidity and mortality transition.(2 3) Lung, colorectal and breast cancer rates are increasing, as a result of demographic and industrial changes. Colorectal cancer ranks among the top five cancer locations in both genders.(1) According to publications focusing on the study of the quality of life in elderly patients with colorectal cancer pathology, multiple socio-cultural, medical aspects, types of treatment used, as well as financial aspects including both the standard of living of the affected persons and treatment costs, may contribute to a decrease in the quality of life of this population category. Studies demonstrate that a multidisciplinary approach of these issues in elderly patients with colorectal cancer pathology can provide relevant information for optimizing their quality of life. [ABSTRACT FROM AUTHOR]